Active NPI
Lesley Phillips, O.T.
- Occupational Therapist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119002694
- Practice address
- 6314 Fredonia Rd
Richmond, VA 23227-1604 - Phone
- (804) 347-2749
- Fax
- (617) 250-8243
- NPI assigned
- Jun 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119002694 | VA | Primary |
Addresses
Primary practice location
6314 Fredonia Rd
Richmond, VA 23227-1604
Mailing address
110 Canal St Ste 3
Lowell, MA 01852-4589
Phone (888) 855-2674
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT25083 | Other | FL | FL LICENSE |
| 0119002694 | Other | VA | VA LICENSE |
| 124463 | Other | TX | TX LICENSURE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, FL, TX
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
378 Quartz Dr
Dripping Springs, TX 78620-2146
Phone (888) 855-2674
41063 W Morgan Ave
Pennington Gap, VA 24277-1831
Phone (617) 671-0789
4215 Kelson Ave
Suite C
Marianna, FL 32446-6555
Phone (888) 855-2674
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124463 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Acute Specialists of Texas PA | Current | Accepting new patients | |
| Imago Rehab, Inc | Current | Accepting new patients |
Locations
4215 Kelson Ave
Ste C
Marianna, FL 32446
Phone (617) 671-0789
110 Canal St
Ste 3
Lowell, MA 01852
Phone (617) 671-0789
500 Unicorn Park Dr
Ste 300
Woburn, MA 01801
Phone (617) 671-0789
2911 Medical Arts St
Ste 10
Austin, TX 78705
Phone (512) 474-5551
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Austin, TX
- NPI 1942859350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1376581462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 CANAL ST STE 3",
"city": "LOWELL",
"state": "MA",
"postal_code": "018524589",
"telephone_number": "888-855-2674",
"fax_number": "617-250-8243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6314 FREDONIA RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232271604",
"telephone_number": "804-347-2749",
"fax_number": "617-250-8243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "LESLEY",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-02",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119002694",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL LICENSE",
"identifier": "OT25083",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA LICENSE",
"identifier": "0119002694",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX LICENSURE",
"identifier": "124463",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.